Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shango Shembo Etienne, DDS

Individual provider General Practice Dentistry · NPI 1770994345

Dr. Shango Shembo Etienne, DDS is a General Practice Dentistry in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

10400 Mallard Creek Rd Ste 103
Charlotte, NC 28262-5206
Phone: (704) 503-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9716 (NC)

Record details

NPI number1770994345
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 16, 2014
Last updated in NPPESDecember 4, 2017

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